Activate Healthcare - CHC Nellis

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ACTIVATE HEALTHCARE - CHC NELLIS

Practice address

650 N Nellis Blvd
Las Vegas, NV 89110-5382

Phone

(702) 691-8181

NPI assigned

Mar 21, 2017

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Geihsler

Title

Principal

Phone

(847) 343-9190

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1023549177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N DAMEN AVE",
            "address_2": "SUITE F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473284",
            "telephone_number": "773-697-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105382",
            "telephone_number": "702-691-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATE HEALTHCARE - CHC NELLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "GEIHSLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-343-9190"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acrx Specialty Pharmacy
• Acs Behavioral Health, LLC
• Act Counseling Center & Henderson, Prof. LLC
• Act Medical Group-Las Vegas Inc
• Action Therapeutics LLC
• Activate Home Health Care LLC
• Activate Wound Care LLC
• Active Behavioral Health, LLC
• Active Body Chiropractic
• Active Health Chiropractic LLC

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.